Upstate University Hosp At Comm General T C U - Syracuse Nursing Home
General Information
UPDATEFederal Provider Number
335870
Provider Name
UPSTATE UNIVERSITY HOSP AT COMM GENERAL T C U
Provider Address
4900 BROAD ROAD
SYRACUSE, NY 13215
SYRACUSE, NY 13215
Provider Phone Number
(315) 464-6170
Provider SSA County
520
Provider County Name
Onondaga
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
20
Number of Residents in Certified Beds
12
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Date First Approved to Provide Medicare and Medicaid services
2014-07-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
3.37917
Reported RN Staffing Hours per Resident per Day
4.25833
Reported Licensed Staffing Hours per Resident per Day
7.63750
Reported Total Nurse Staffing Hours per Resident per Day
7.63750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.95417
Expected CNA Staffing Hours per Resident per Day
2.00748
Expected LPN Staffing Hours per Resident per Day
0.63420
Expected RN Staffing Hours per Resident per Day
1.66136
Expected Total Nurse Staffing Hours per Resident per Day
4.30303
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
4.42247
Adjusted RN Staffing Hours per Resident per Day
1.91519
Adjusted Total Nurse Staffing Hours per Resident per Day
7.15449
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.40000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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